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目的:探讨单骨型蝶窦纤维结构不良的病因、临床表现、诊断及治疗。方法:对无症状的2例单骨型蝶窦的纤维结构不良患者采取姑息手术治疗及随访,并复习颅骨纤维结构不良相关文献。结果:经半年随访复查,病灶较手术后无加重。结论:颅骨纤维结构不良发病率低,症状缺乏特异性,误诊率较高;单独累及蝶窦而未出现症状者,临床更是罕见。影像学检查如CT和MRI可辅助诊断,但必须经组织病理学检查确诊。对无症状者可选择保守治疗;鼻内镜术既可以切除病变组织,又可以取病变组织明确诊断。对所有患者均应长期随访。
Objective: To investigate the etiology, clinical manifestations, diagnosis and treatment of unilateral sphenoid sinus fibrous dysplasia. Methods: Two patients with asymptomatic skeletal sphenoid sinus fibrous dysplasia were treated with palliative surgery and follow-up, and review the literature related to poor skull fibrous structure. Results: After six months of follow-up examination, the lesions did not aggravate after surgery. CONCLUSIONS: The morbidity of skull fibrous dysplasia is low, the symptoms are not specific, and the rate of misdiagnosis is high. Patients with sphenoid sinus involvement alone without symptoms are even rare. Imaging studies such as CT and MRI can aid diagnosis but must be confirmed by histopathology. Asymptomatic patients can choose conservative treatment; endoscopic surgery can both remove the diseased tissue, but also take a clear diagnosis of diseased tissue. All patients should be long-term follow-up.